WAL MART STORES TEXAS LLC (NPI# 1134640071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134640071 |
| Entity Type | Organization |
| Organization Name | WAL MART STORES TEXAS LLC |
| Other Organization Name | WALMART VISION CENTER 30-2463 |
| Practice Address |
355 Stonebrook Pkwy Frisco TX 75034 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9729878768 |
| Mailing Telephone | 4792772500 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2018-08-31 |
| Authorized Official Name | MS. SARAH LITTLE (DIR HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART SORES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Walmart Vision Center 30-2463 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589454 | Wal Mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 350 Stonebrook Pkwy, Frisco, TX 75034 | 2017-06-30 |
| 1538474283 | Wal Mart Stores Texas LLC | Technician/Technologist | 5025 Nw Loop 410, San Antonio, TX 78229-5313 | 2010-08-18 |
| Street Address |
355 STONEBROOK PKWY |
| City | FRISCO |
| State | TX |
| Zip Code | 75034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912301342 | Katherine Egan | Optometrist | 355 Stonebrook Pkwy, Frisco, TX 75034 | 2014-10-14 |
| 1598365439 | Amy Mei Tran | Pharmacist | 355 Stonebrook Pkwy, Frisco, TX 75036-3076 | 2020-10-29 |
| 1134729460 | Emily Binwhe Hong | Pharmacist | 355 Stonebrook Pkwy, Frisco, TX 75036-3076 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 156FX1700X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ocularist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982112280 | Chadi Kouka | Technician/Technologist | 9001 Amberglen Blvd Apt 9209, Austin, TX 78729-1133 | 2018-01-20 |
| 1942461629 | Rickey Earl Goerges | Technician/Technologist | 7826 Louis Pasteur Dr, San Antonio, TX 78229-3474 | 2008-06-24 |
| 1548312242 | Vernon Randolph Lamb | Technician/Technologist | 515 W Beauregard Ave, San Angelo, TX 76903 | 2007-01-16 |
| 1366514028 | Joseph Edgar Clements IIi | Technician/Technologist | 3419 S Coulter St Ste 2c, Amarillo, TX 79109-3998 | 2006-11-15 |
| 1104907070 | Antonino A. Deleza | Technician/Technologist | 5005 Caroline St, Houston, TX 77004-5703 | 2006-10-18 |
| 1043247125 | William Randall Trawnik | Technician/Technologist | 4600 Greenville Ave Ste 240, Dallas, TX 75206-5037 | 2006-06-26 |
| 1285801035 | Matthew Earl Layton | Technician/Technologist | 3636 S Alameda St, Corpus Christi, TX 78411-1723 | 2008-05-12 |
| 1972790814 | Craig R. Pataky | Technician/Technologist | 4409 Medical Pkwy, Austin, TX 78756-3313 | 2007-09-25 |
| 1306859103 | Jean G Thompson | Technician/Technologist | 4118 Mccullough Ave, Suite 16, San Antonio, TX 78212-1979 | 2006-08-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.